September 21, 2015



Full text articles are available to fee paying members of Alzheimer’s Australia NSW by emailing
Federal staffing requirements raised in state inquiry

Page 8
A NSW parliamentary inquiry examining the adequacy of nursing staff levels in residential aged care was told that state authorities needed to play a role in regulating the sector’s workforce. The inquiry was prompted by the impact of removing the high care/low care distinction in the federal Aged Care Act on existing NSW legislation, which required a registered nurse be in charge and on duty at all times in a high care facility.

Dementia research not keeping pace with disease burden
Page 9

An analysis found that just over a third of the number of clinical trials investigating dementia are underway or planned in Australia. Undertaken by six academics at the University of Sydney, the analysis included the total number of registered trials and planned recruitment for trials investigating NHPA (National Health Priority Areas) conditions.

Carer burden highlighted in homicide research
Page 10

Family carers having homicidal thoughts about their loved one with dementia is a “real and significant phenomenon”, which reaffirms the profound pressures facing carers. The research is based on interviews with 21 family carers of people living with dementia.

Banks in the dark on powers of attorney
Page 10

Federal legislation around powers of attorney, as well as a national register, is needed for banks to protect the financial interests of older Australians and help prevent financial abuse, a new study has recommended.

Better understanding CALD aged care needs

The benefits of ethno-specific aged care on the wellbeing of older people from culturally and linguistically diverse backgrounds will be measured in a new study that aims to guide the future development of services.

Supporting seniors in country areas
Page 12

Older people living in rural and remote areas can face significant issues which warrant attention.

People living in rural areas tend to have shorter lives and higher levels of illness and disease risk factors than those in major cities. They are also bearing the brunt of climate change, with floods, heatwaves and bushfires being much more likely to affect them than their city-dwelling counterparts.

Indigenous Australians often wish to be cared for in their own communities where they are close to the family, and where they can die on their land.
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Reforms pave the way for change
Page 16

The Aged Care reforms are changing the way consumers approach aged care and how providers operate their business. The government’s vision for aged care by 2022 is to have a system that is sustainable and affordable long into the future; provides divers and rewarding career options; encourages aged care businesses to invest and grow; offers greater choice and flexibility for consumers; and supports people to stay at home as part of their communities for as long as possible.

Advocacy review parameters not adequate for new system
Page 18

A Review of Commonwealth Aged Care Advocacy Services is an important recognition that, in the context of implementing measures that give older Australians greater choice and control over aged care services, it is vital that consumers are enabled to take full advantage of the opportunities that will bring. Good organisational and system advocacy will also save money over time by reducing the need for individual advocacy.


8 Questions about the government’s restorative care program
Page 20

Research has demonstrated that it is possible to improve function of people with dementia –how can this knowledge be translated into restorative care?

-          What are the differences between rehabilitation, transitional care and restorative care?

-          Do the program targets make sense?

-          Is there evidence the current transitional care program is successful?

-          Who should receive restorative care?

-          Who will deliver restorative care?

-          Will restorative care be delivered in residential care or the community?

-          How will system drivers impact restorative care?

-          How will the payments be set?
by the author Lee Fay Low

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Bad things happen to good women
Page 22

The death of a husband, a late-life divorce, a series of strokes or suddenly losing your job can all push older women into financial dire straits. The sad thing is that women in their 50s and 60s who missed out on education and skills never had or lost their home, and have little or no super because they worked cash-in-hand or casual jobs. Many are not financially literate – they have never been encouraged to understand money and have been happy to leave the finances to someone else to worry about.

On the frontline
Page 24

The article discusses the role of registered nurses in residential aged care’s clinical workforce, and how to attract and retain them.

-          Graduates: Need for national approach

-          Impending mass retirement

-          RNS as clinical leaders

-          Competencies

-          Need for national strategy


NFP providers join forces in record numbers to survive
Page 26

All indications are that merger, amalgamation and partnership activity is at unprecedented levels in aged care, as the not-for-profit sector faces profound challenges. But how does an organisation decide whether to join forces or go it alone? What determines success? And what are the pitfalls?

Number crunch: separating the great from the good
Page 28

There are many moving parts associated with running aged care well and associated metrics that need to be considered. Providers need to collect and measure information that comes from various sources – and do it well.

A charitable act
Page 30

If a provider is directed to use a gift they receive in a will in a specific way but are unable to carry out this direction then they risk losing the gift altogether. However, if this situation arises, they can keep the gift if they use it in a way that is consistent with the conditions expressed in the will and if the gift exhibits a general charitable purpose.


From doomsday to triumph: changing our view on ageing
Page 34

In a new book, former minister for ageing Mark Butler challenges common misconceptions on the ageing population – from how treasury reports on the economic ‘burden’ to the role of media and entertainment. In an interview Butler speaks about changing minds, government lobbying and the need for leadership.
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See the person (Cover Story)
Page 36

With more than 320,000 Australians living with dementia – including one in 10 people over the age of 65 – innovating for improvement in care and support has become critical. Kymberly Martin speaks to senior staff at Hammond Care’s Dementia Centre and Hammond College who are at the forefront of implementing best practice dementia support principles – driven by focus on meaningful engagement with the person with dementia.


A critical mass (Nutrition)

Page 40

As muscle loss results in functional decline, it is essential that residents receive adequate energy and protein to support muscle mass.

-          Causes

-          Detection

-          Treatment and prevention

-          Future directions

Incontinence – Breaking those night-time rituals

Page 42

The article questions whether padding incontinence at night is really the best we can do for people living in residential aged care.

Singing from the same hymn sheet
Page 44

Research supports the value of music for people living with dementia in stimulating engagement, increasing vitality and interaction, and in some cases improve speech.


Different realities for DBMAS (Dementia Behaviour Management Advisory Services)
Page 45

The DBMAS provides national support in Australia; something that is often commented on and envied by overseas colleagues, writes one of the NSW DBMAS rural and remote consultants.

Investigating dignity therapy in aged care
Page 48

The research is looking at dignity therapy in the aged care setting to see if it can assist with the transition of residents who have minimal or no cognitive impairment into residential aged care.

Growth of specialities in aged care

Page 50

A director of nursing argues that it is important to encourage staff, no matter their position, to take up the challenge of learning.

Spiritual care assessment and planning
Page 53

Salvation Army Captain Mavis Salt is hoping to share the learnings from her masters degree to help ensure provision of pastoral and spiritual care in aged care.

 Something needs to change
Page 57

Acorn Network founder and managing director Samantha Bowen wants to promote aged care as a rewarding career path for young people.


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